“Multiple chronic conditions,” also known as multimorbidity, is a special situation frequently encountered by global healthcare professionals, especially internists/primary care physicians, neurologists, respiratory/pulmonologists, pain specialists, and oncologists, who spend more than three-quarters of their time in the treatment of chronic diseases and direct patient care. Thus, the increasing need for multidisciplinary approaches in the management of multiple chronic medical problems, rather than focusing on individual diseases, should be borne in mind by global healthcare professionals, public health professionals, healthcare providers, health policymakers, and pharmaceutical industries. This book is an up-to-date source of information for physicians, residents, and advanced medical students seeking a broader understanding of managing chronic disease clusters.

This publication explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on 12 detailed country reports (available in a second, online volume), the study provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches.

"Overall, the book walks a delicate balance between evidence and advocacy regarding the care of people with chronic conditions. Nolte and McKee conclude the volume with the following: 'A first step is to recognize that something must be done. A second, which we hope will be facilitated by the evidence provided in this book, is to realize that something actually can be done, and that they can do it (p. 240)'. The overarching desire to match the need for evidence with the reality that advocates (including policy-makers) need a reasoned voice makes the book well suited to health policy deliberations." International Journal of Integrated Care The complex nature of many chronic diseases, which affect people many different ways, requires a multifaceted response that will meet the needs of the individual patient. Yet while everyone agrees that the traditional relationship between an individual patient and a single doctor is inappropriate, there is much less agreement about what should replace it. Many countries are now experimenting with new approaches to delivering care in ways that do meet the complex needs of people with chronic disorders, redesigning delivery systems to coordinate activities across the continuum of care. Yet while integration and coordination have an intuitive appeal, policy makers have had little to help them decide how to move forward. The book systematically examines some of the key issues involved in the care of those with chronic diseases. It synthesises the evidence on what we know works (or does not) in different circumstances. From an international perspective, it addresses the prerequisites for effective policies and management of chronic disease. Taking a whole systems approach, the book: Describes the burden of chronic disease in Europe Explores the economic case for investing in chronic disease management Examines key challenges posed by the growing complexity in healthcare including prevention, the role of self-management, the healthcare workforce, and decision-support Examines systems for financing chronic care Analyses the prerequisites for effective policies for chronic care Caring for People with Chronic Conditions is key reading for health policy makers and health care professionals, as well as postgraduate students studying health policy, health services research, health economics, public policy and management. Contributors: Reinhard Busse, Elisabeth Chan, Anna Dixon, Carl-Ardy Dubois, Isabelle Durand-Zaleski, Daragh K Fahey, Nicholas Glasgow, Monique Hejmans, Izzat Jiwani, Martyn Jones, Cécile Knai, Nicholas Mays, Martin McKee, Ellen Nolte, Thomas E Novotny, Joceline Pomerleau, Mieke Rijken, Dhigna Rubiano, Debbie Singh, Marc Suhrcke.

This book focuses on optimizing management and outcomes rather than on routine diagnosis of chronic disease. The reader learns proven methods for treating the most common chronic conditions that they see in daily practice. Chapters are structured to help physicians adopt evidence-based management techniques specific for each condition. Special emphasis is placed on the use of action plans and educational resources for promoting patient self-management.

In the United States, chronic diseases currently account for 70 percent of all deaths, and close to 48 million Americans report a disability related to a chronic condition. Today, about one in four Americans have multiple diseases and the prevalence and burden of chronic disease in the elderly and racial/ethnic minorities are notably disproportionate. Chronic disease has now emerged as a major public health problem and it threatens not only population health, but our social and economic welfare. Living Well with Chronic Disease identifies the population-based public health actions that can help reduce disability and improve functioning and quality of life among individuals who are at risk of developing a chronic disease and those with one or more diseases. The book recommends that all major federally funded programmatic and research initiatives in health include an evaluation on health-related quality of life and functional status. Also, the book recommends increasing support for implementation research on how to disseminate effective longterm lifestyle interventions in community-based settings that improve living well with chronic disease. Living Well with Chronic Disease uses three frameworks and considers diseases such as heart disease and stroke, diabetes, depression, and respiratory problems. The book's recommendations will inform policy makers concerned with health reform in public- and private-sectors and also managers of communitybased and public-health intervention programs, private and public research funders, and patients living with one or more chronic conditions.

Promoting Self-Management of Chronic Health Conditions covers a range of topics related to self-management-theories and practice, interventions that have been scientifically tested, and information that individuals with specific conditions should know (or be taught by healthcare professionals).

This Open Access book highlights the ethical issues and dilemmas that arise in the practice of public health. It is also a tool to support instruction, debate, and dialogue regarding public health ethics. Although the practice of public health has always included consideration of ethical issues, the field of public health ethics as a discipline is a relatively new and emerging area. There are few practical training resources for public health practitioners, especially resources which include discussion of realistic cases which are likely to arise in the practice of public health. This work discusses these issues on a case to case basis and helps create awareness and understanding of the ethics of public health care. The main audience for the casebook is public health practitioners, including front-line workers, field epidemiology trainers and trainees, managers, planners, and decision makers who have an interest in learning about how to integrate ethical analysis into their day to day public health practice. The casebook is also useful to schools of public health and public health students as well as to academic ethicists who can use the book to teach public health ethics and distinguish it from clinical and research ethics.

With the progress of population aging, development of medical technology, increase in life expectancy, changes in life habits, etc., the prevalence of chronic conditions is rising and their burden on individuals and society is growing rapidly(WHO,2011)1). According to a report from OECD (2010), chronic diseases are the main causes for disabilities and deaths throughout the world, as 60% of the global population is estimated to die from chronic diseases. Recently, the concern over prevalence and management of multiple chronic conditions, along with the increase in chronic conditions, is rising (Lenhert et al., 2011). Results from various studies indicate that prevalence of multiple chronic conditions occurs in more than 65% of the elderly aged 65 years or older (Lenhert et al., 2011). In Korea, 68.7% of people in their 50s have at least one chronic disease, and the ratio grows to 83.7% and 91.3% among those in their 60s and 70s, respectively (Young-Ho Jung et al., 2011)2). Among patients who have multiple chronic conditions, those in their 50s have an average of two chronic conditions, whereas those in their 60s have an average of three conditions and those in their 70s have an average of 3.5 chronic conditions (Young-Ho Jung, 2012)3). We can see that the ratios of people who have chronic conditions and multiple chronic conditions rise as they get older, and thus, management of chronic diseases is one of the key policy issues in today's society where population aging is swiftly occurring. However, there has been insufficient research on multiple chronic conditions compared to that on chronic conditions in general. Therefore, it is necessary to facilitate research on and policy attention to multiple chronic conditions. Based on this necessity, the study attempts to promote the understanding of multiple chronic conditions by analyzing the types and distribution of these conditions among the elderly patients who have multiple chronic conditions. Following chapter 1, which provides the introduction, chapter 2 presents the classification of chronic diseases and the concept of multiple chronic conditions. Chapter 3 deals with the distribution of comorbidity of major chronic conditions and use of medical care; in more concrete terms, analysis was made on the comorbidity of hypertension and heart disease, comorbidity of diabetes and heart disease, and comorbidity of hypertension and diabetes. In chapter 4, types and constitution of multiple chronic diseases among the elderly aged 65 or older and their risks were analyzed. In the study, the Health Insurance Review and Assessment Service's patient sample for 2011 was used for the analysis of multiple chronic conditions, and logistic regression was applied for the risk analysis. The final chapter provides the discussion and conclusion of the study. Contents CHAPTER 1 IntroductionCHAPTER 2 Classification of chronic conditions and concept of multiple chronic conditionsA. Classification of chronic conditionsB. Concept of multiple chronic conditionsCHAPTER 3 Distribution of comorbidity of major chronic conditions and use of medical careA. Comorbidity of hypertension and heart diseaseB. Comorbidity of diabetes and heart diseaseC. Distribution of hypertension and diabetesCHAPTER 4 Types of multiple chronic conditions of the elderlyA. Distribution of chronic conditions among the elderly 65 years of age or olderB. Types and distribution of multiple chronic conditions among the elderly aged or olderC. Analysis of the risks of multiple chronic conditions for the elderlyCHAPTER 5 Discussion and conclusion

The second edition of this popular textbook provides a comprehensive overview to chronic illness care, which is the coordinated, comprehensive and sustained response to chronic diseases and conditions by health care providers, formal and informal caregivers, healthcare systems, and community-based resources. This unique resource uses an ecological framework to frame chronic illness care at multiple levels, and includes sections on individual influences, the role of family and community networks, social and environmental determinants, and health policy. The book also orients how chronic care is provided across the spectrum of health care settings, from home to clinic, from the emergency department to the hospital and from hospitals to residential care facilities. The fully revised and expanded edition of Chronic Illness Care describes the operational frameworks and strategies that are needed to meet the care needs of chronically ill patients, including behavioral health, care management, transitions of care, and health information technology. It also addresses the changing workforce needs in health care and the fiscal models and policies that are associated with chronic care. Several new chapters are included in the second edition and reflect the significant changes that have occurred in health care due to the COVID-19 pandemic. Chapters covering vaccinations, virtual care, and care of COVID-19 associated chronic conditions have been added. The revised textbook builds on the first editions content that covered providing care to special population groups, such as children and adolescents, older adults, and adults with intellectual and developmental disabilities, by including care approaches to adults with severe and persistent mental health disorders, the LGBTQ+ community, incarcerated persons, immigrants and refugees, and military veterans. Finally, chapters on important and emerging topics, such as natural language processing and health inequities and structural racism have also been added.